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宁夏南部七县(区)肺结核流行特征及传播趋势分析

Epidemic characteristic and spread trend analysis of human pulmonary tuberculosis in seven counties of Southern Ningxia
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摘要 目的 结合临床登记病历调查和随访活动性肺结核患者,了解宁夏南部结核病高发区7个县(区)的结核病基本流行特征和传播情况,从而为结核病的控制和预防方案的制定提供科学依据.方法 调查宁夏南部7个县(区)(西吉县、海原县、泾原县、彭阳县、原州区、同心县、中卫市)2008年、2009年临床登记治疗的2931例结核病患者病历资料(包括患者的一般信息及诊断治疗信息).并在2010年对已经登记治疗、但仍然处于活动性肺结核的965例患者进行随访,对问卷结果(包括一般个人信息、症状出现时间和结核病确诊时间,以及临床检查和实验室诊断)和临床调查信息录入SPSS 20.0软件.对所有调查资料进行统计分析,根据随访患者的延误诊断信息评估上述地区结核病的疫情.用x2检验比较各参数间在95%可信限中差异有无统计学意义,P<0.05为差异有统计学意义.结果 资料分析结果显示,在7个县(区)的调查中,2008和2009年男、女所占比率在总体的临床登记患者中为:2008年男性所占比率58.01%(851/1467),女性所占比率41.99%(616/1467);2009年男性所占比率59.02%(864/1464),女性所占比率40.98%(600/1464)]和随访患者男性所占比率54.61%(527/965),女性所占比率45.39%(438/965)基本一致.而回、汉族患者所占比率变化较大,2008年登记的结核病患者回族约为汉族的1/5(回族205例,汉族1262例),且在海原、彭阳、西吉回族患者为0;2009年回族患者:汉族患者接近1:1(回族744例,汉族720例);2010年随访的患者中,回族患者明显多于汉族(回族618例,汉族347例).被调查患者中,年龄平均为[2008年(46±21)岁;2009年(45±21)岁;2010年(46±17)岁];职业构成中,3年调查资料都是以农民患者最多[2008年所占比率为84.73(1243/1467);2009年为62.50(915/1464);2010年为93.06(898/965)],学生患者次之[2 Objective The aim of this study was to understand the TB epidemic features and transmission situation through investigations of clinical records and case follow-up, in order to provide reliable references for the sustainable control policy development. Methods We retrospectively investigated the clinical records of 2931 TB cases in 2008 and 2009 registered in seven high-epidemic counties of Ningxia, and their demographic and clinical information were collected. We also followed-up the 965 cases of TB patients still under active TB treatment in 2010, collected their demographic and clinical information, as well as clinical and laboratory results. All the collected data were input into SPSS for the further analysis. The transmission risks were estimated according to delay days of TB confirmative diagnosis after symptom onset. The Chi-square test was used to compare the different rates between groups. 95% confidential limits at P〈0.05 were set as the significant cutoff. Results Data analysis showed that in 2008 the male patients accounted for 58.01% (851/1467), and female accounted for 41.99% (616/1467) ; and in 2009 the male patients accounted for 59.02% (864/1464), and female accounted for 40. 98% (600/1464) ; in 2010 followed up patients, male accounted for 54.61% (527/965) and female for 45.39% (438/965). The proportion of Muslim patients had a large change, in 2008, the Muslim patients accounted 1/5 of Han patients (Muslim 205 cases, Han 1262), and none in Haiyuan, Pengyang, Xiji county; in 2009 the number of Muslim patient to Han patients was close to 1 : 1 (Muslim 744 cases, Han 720 cases) ; in 2010 followed-up patients, the number of Muslim patients was significantly higher than Han patients (Muslim 618 cases, Han 347 cases). Among the cases, average age was (464-21) years in 2008, (45±21) years in 2009; (46±17) years in 2010;The highest incidence was found in farmers [84.73 (1248/1467) in 2008; 62.50 (915/1464) in 2009; 93.06 (898/965) in 201
作者 朱圭娜 杨书鲲 尹媛婕 陈丹丹 王晓林 王丽 侯怀哲 景永峰 王平 Magda Ellis Donald P. McManus 杨玉荣 ZHU Gui-na , YANG Shu-kun, YIN Yuan-jie, CHEN Dan-dan, WANG Xiao-lin, WANG Li, HOU Huai-zhe, JING Yong-feng, WANG Ping, Magda Ellis,Donald P. MeManus, YANG Yu-rong. Pathogen and Immunology Department of Ningxia Medical University, Yinchuan , Ningxia 750004, China( Now in: The Clinical Laboratory of Centre of Disease Control (CRC) in Qingyang City, Gansu 745000, China)
出处 《结核病与肺部健康杂志》 2015年第3期174-178,共5页 Journal of Tubelculosis and Lung Health
基金 国家自然科学基金(30960339 81460311) 澳大利亚国立卫生医学研究基金会基金(National Health Medical Research Councils,APP1025166)
关键词 结核 肺/流行病学 结核 肺/传播 宁夏[回族自治区] Tuberculosis, pulmonary/epidemiology Tuberculosis, pulmonary/transmissionl Ning xia
作者简介 朱圭娜,研究生,现在745000甘肃省庆阳市疾病预防控制中心检验科工作 陈丹丹(研究生,现在山东省潍坊康华生物技术有限公司) 通信作者:杨玉荣,Email:yangyuronN_@hotmail.com
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